| NPI | 1730808510 |
|---|---|
| Former Legal Business Name | SUMMIT HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | CIARA LEWIS Billing Specialist 606-767-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |